| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SF INSURANCE SERVICES INC3 Filed as: SF INSURANCE GROUP LLC | 214 SOUTH KNOWLES AVE NEW RICHMOND, WI 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $18K | $3K | $20K | 14.06% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $9K | $9K | 6.29% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $7K | $7K | 5.00% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER & ASSOCIATES INC | 1477 S KNOWLES AVE STE 200 NEW RICHMOND, WA 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 2.53% |
| SF INSURANCE SERVICES INC3 Filed as: SF INSURANCE GROUP LLC | 214 SOUTH KNOWLES AVE NEW RICHMOND, WI 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | $2K | $13K | 14.02% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 6.29% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 5.00% |
| J A COUNTER & ASSOCIATES INC3 | 1477 S KNOWLES AVE STE 200 NEW RICHMOND, WA 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 2.58% |
| SF INSURANCE SERVICES INC3 Filed as: SF INSURANCE GROUP LLC | 214 SOUTH KNOWLES AVE NEW RICHMOND, WI 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $549 | $6K | 14.42% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 6.25% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMSTRS INC | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| J A COUNTER & ASSOCIATES INC3 | 1477 S KNOWLES AVE STE 200 NEW RICHMOND, WA 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.73% |
| SF INSURANCE SERVICES INC3 Filed as: SF INSURANCE GROUP LLC | 214 SOUTH KNOWLES AVE NEW RICHMOND, WI 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $356 | $3K | 14.77% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 6.59% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $981 | $981 | 5.00% |
| J A COUNTER & ASSOCIATES INC3 | 1477 S KNOWLES AVE STE 200 NEW RICHMOND, WI 54017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $537 | — | $537 | 2.74% |
| S F INSURANCE GROUP LLC3 | 214 S KNOWLES AVE NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 7.47% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $738 | $295 | $1K | 5.82% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $738 | $738 | 4.16% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | PO BOX 387 NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $150 | $15 | $165 | 0.93% |
| JOHN GAUPER-SF INS. GROUP LLC3 | 214 S. KNOWLES AVE NEW RICHMOND, WI 54017 | HEALTHPARTNERS ADMINISTRATORS, INC | — | $3K | $3K | 15.98% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 27.42% |
| S F INSURANCE GROUP LLC3 | 214 S KNOWLES AVE NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 24.67% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $707 | $283 | $990 | 5.91% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $707 | $707 | 4.22% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | PO BOX 387 NEW RICHMOND, WA 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $460 | $7 | $467 | 2.79% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 26.87% |
| S F INSURANCE GROUP LLC3 | 214 S KNOWLES AVE NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 23.67% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $549 | $220 | $769 | 5.79% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $549 | $549 | 4.14% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | PO BOX 387 NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $425 | $7 | $432 | 3.25% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 27.64% |
| S F INSURANCE GROUP LLC3 | 214 S KNOWLES AVE NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 24.85% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $410 | $164 | $574 | 5.95% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN BENEFITS ADMINISTRATOR | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $410 | $410 | 4.25% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | PO BOX 387 NEW RICHMOND, WI 54017 | METROPOLITAN LIFE INSURANCE COMPANY | $269 | $4 | $273 | 2.83% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 259 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 141 | $26K |
| Dental | HEALTHPARTNERS ADMINISTRATORS, INC | 377 | $18K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $18K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 199 | $20K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 249 | $144K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 199 | $93K |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 199 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 377 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.